Detection of ectopic gastric mucosa in Meckel’s diverticulum by means of scintigraphy with 99mTc-pertechnetate in a 24-year old man
Authors:
J. Doležal
Authors‘ workplace:
Oddělení nukleární medicíny FN Hradec Králové, přednosta MUDr. Ing. Jaroslav Vižďa
Published in:
Vnitř Lék 2007; 53(3): 307-310
Category:
Case Reports
Overview
Aim:
The article presents a case of a 24-year old man with ectopic gastric mucosa in Meckel’s diverticulum. Ectopic gastric mucosa may be present in Meckel’s diverticulum and may be associated with peptic ulcer disease and lower gastrointestinal (GI) bleeding. Diagnosing ectopic gastric mucosa can largely benefit from 99mTc-pertechnetate scintigraphy.
Material and method:
A 24-year old man underwent Meckel’s diverticulum scintigraphy for timely anamnesis of GI bleeding from uncertain source (enterorrhagia, haemorrhagic anaemia). Upper tract and large bowel endoscopy, enteroclysis, ultrasound, CT and radioactive labelled red blood cells scintigraphy resluts were negative. Results: Ectopic gastric mucosa was detected by 99mTc-pertechnetate scintigraphy. The patient underwent surgery and part of the proximal ileum including Meckel’s diverticulum with ectopic
gastric mucosa detected by histology was resected.
Conclusion:
Meckel’s diverticulum scintigraphy can help detect ectopic gastric mucosa and improve the disease management in a patient with gastrointestinal bleeding.
Key words:
ectopic gastric mucosa – gastrointestinal bleeding in adult – Meckel’s diverticulum scintigraphy
Sources
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Labels
Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
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